Early Positive Approaches to Support (E-PAtS) for Family Carers of Young Children with Developmental Disabilities: Adaptation and Piloting in Quebec Public Services

Mélina Rivard^1*Mélina Boulé¹Marjorie Morin¹Nadia Abouzeid¹Céline Chatenoud²Diane Morin¹Catherine Mello³Nick Gore⁴Jill Bradshaw⁴Richard hastings⁵

• ¹Université du Québec à Montréal, Montreal, Canada
• ²Université de Genève, Genève, Switzerland
• ³Pennsylvania State University, Berks, United States
• ⁴University of Kent, Canterbury, United Kingdom
• ⁵University of Warwick, Coventry, United Kingdom

Background. This paper presents the participative research undertaken to adapt and pilot the Early Positive Approaches to Support (E-PAtS) program, originally developed and evaluated in English for use in the United-Kingdom, for implementation within Québec’s public health and social services. E-PAtS supports family carers of young children with developmental disabilities by promoting their well-being and adjustment early in their services trajectory. Method. The program was translated into French and iteratively adapted based on feedback from six pilot cohorts conducted across four diverse clinical settings: a rural service center, an urban center, a specialized pediatric hospital, and a diagnostic clinic. These sites were selected to ensure demographic and geographic representativity of Québec’s population, and participating families also reflected a range of backgrounds. The adaptation process was grounded in community-based participatory research principles, actively involving parents, practitioners, managers, and researchers. Changes to the program’s content and delivery were made according to partner recommendations. Evaluation focused on social validity, effectiveness, feasibility, and fidelity of implementation. Results. Participating parents completed questionnaires and interviews, reporting improved well-being and greater confidence in self-care, indicating the program’s relevance and positive impact. Fidelity of implementation was assessed using the E-PAtS fidelity checklist, and feasibility was evaluated through session attendance logs. Both indicators were considered strong, despite the challenges posed by the COVID-19 pandemic. Conclusion. Findings support the adapted E-PAtS program’s suitability for Québec’s public services, with further refinements recommended for broader dissemination. This study highlights the value of participatory approaches in adapting evidence-based interventions across cultural and service delivery contexts.